Please list all other siblings who will be attending this event as well. Please include their age, grade, and known allergies.

I have provided THE RAISE THE ROOF MINISTRIES of First Church of Christ with the most recent and up to date information including health, medical emergency and contact information for the participants listed above. I have provided this information to ensure the participant has a safe and healthy experience while participating in the respite program events. In the event of an emergency, I give FIRST CHURCH OF CHRIST permission to seek emergency medical care and treatment from the hospital/physician that I have identified above for the participant.